Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery
This study examined the effects of general anesthesia on the postoperative pain level after third molar extractions compared to local anesthesia. This retrospective study included patients who underwent four simultaneous third molar extractions under general or local anesthesia and had records of th...
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MDPI AG
2021-06-01
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Series: | Journal of Clinical Medicine |
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Online Access: | https://www.mdpi.com/2077-0383/10/12/2674 |
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author | Jeong-Kui Ku Jae-Young Kim Mi-Kyoung Jun Yeong Kon Jeong Jong-Ki Huh |
author_facet | Jeong-Kui Ku Jae-Young Kim Mi-Kyoung Jun Yeong Kon Jeong Jong-Ki Huh |
author_sort | Jeong-Kui Ku |
collection | DOAJ |
description | This study examined the effects of general anesthesia on the postoperative pain level after third molar extractions compared to local anesthesia. This retrospective study included patients who underwent four simultaneous third molar extractions under general or local anesthesia and had records of their postoperative pain levels (visual analog scale, VAS). The pain level was determined in the early (Postoperative day; POD < #3) and late (POD #3-7) periods. The operation time and recently modified difficulty index were analyzed to validate the homogenous condition of the extraction. Of the 227 male inpatients (aged 20.9 ± 1.3 years), 172 and 55 patients underwent third molar extractions under local and general anesthesia, respectively. The age and difficulty index were distributed equally, but the operation time was longer in general anesthesia than in local anesthesia (<i>p</i> < 0.001). The early and late periods featured similar pain outcomes. The operation time correlated with the total periods with a correlation coefficient of 0.271 (<i>p</i> < 0.001). In conclusion, the postoperative pain following whole third molar extraction was related to the operation time rather than the anesthetic methods. |
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id | doaj.art-1d3d9091b16241c6a1192e33ea9eee6a |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T10:19:12Z |
publishDate | 2021-06-01 |
publisher | MDPI AG |
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series | Journal of Clinical Medicine |
spelling | doaj.art-1d3d9091b16241c6a1192e33ea9eee6a2023-11-22T00:33:19ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011012267410.3390/jcm10122674Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar SurgeryJeong-Kui Ku0Jae-Young Kim1Mi-Kyoung Jun2Yeong Kon Jeong3Jong-Ki Huh4Department of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaSae-e Dental Clinic, 109-8, Songwon-ro, Jangan-gu, Suwon 16294, KoreaDepartment of Oral and Maxillofacial Surgery, Section of Dentistry, Armed Forces Capital Hospital, Armed Forces Medical Command, Seongnam 13634, KoreaDepartment of Oral and Maxillofacial Surgery, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul 06273, KoreaThis study examined the effects of general anesthesia on the postoperative pain level after third molar extractions compared to local anesthesia. This retrospective study included patients who underwent four simultaneous third molar extractions under general or local anesthesia and had records of their postoperative pain levels (visual analog scale, VAS). The pain level was determined in the early (Postoperative day; POD < #3) and late (POD #3-7) periods. The operation time and recently modified difficulty index were analyzed to validate the homogenous condition of the extraction. Of the 227 male inpatients (aged 20.9 ± 1.3 years), 172 and 55 patients underwent third molar extractions under local and general anesthesia, respectively. The age and difficulty index were distributed equally, but the operation time was longer in general anesthesia than in local anesthesia (<i>p</i> < 0.001). The early and late periods featured similar pain outcomes. The operation time correlated with the total periods with a correlation coefficient of 0.271 (<i>p</i> < 0.001). In conclusion, the postoperative pain following whole third molar extraction was related to the operation time rather than the anesthetic methods.https://www.mdpi.com/2077-0383/10/12/2674general anesthesiaimpacted toothpostoperative painthird molartooth extraction |
spellingShingle | Jeong-Kui Ku Jae-Young Kim Mi-Kyoung Jun Yeong Kon Jeong Jong-Ki Huh Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery Journal of Clinical Medicine general anesthesia impacted tooth postoperative pain third molar tooth extraction |
title | Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery |
title_full | Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery |
title_fullStr | Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery |
title_full_unstemmed | Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery |
title_short | Influence of General and Local Anesthesia on Postoperative Pain after Impacted Third Molar Surgery |
title_sort | influence of general and local anesthesia on postoperative pain after impacted third molar surgery |
topic | general anesthesia impacted tooth postoperative pain third molar tooth extraction |
url | https://www.mdpi.com/2077-0383/10/12/2674 |
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